Organization
EYE SURGERY CENTER OF ALBANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOT ALLEN WALL MD (PRESIDENT)
(229) 435-8799
Entity
Organization
Contact information
Practice address
2308 PALMYRA RD, ALBANY, GA 31701-1324
(229) 435-8799
(229) 438-8345
Mailing address
2308 PALMYRA RD, ALBANY, GA 31701-1324
(229) 435-8799
(229) 438-8345
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
047-325
GA
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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